Individual
DIANA JOHNSON-WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 FIRE HOUSE LANE, HYDEN, KY 41749
(606) 672-4215
(606) 672-4218
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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